Oh, glorious summer! This vacation is passing far too fast! I am not at all prepared to start internship. Couldn't they give us another month, or two, or three...but I guess not. I spent the majority of yesterday enjoying the outdoors and walked a total of ten miles! Not at once -- I walked four miles in the morning listening to a Medical Knowledge Self Assessment Program (MKSAP) lecture about diabetes while basking in the bright sunny day. I originally planned to stop at the library and fill in the gap in my Russian Literature with Anna Karenina, but I forgot my library card. So after a very nice lunch with my grandmother, sister, and cousin at Mongolian Barbecue, I set out again, because aside from trying to exercise I am trying to "be green" and driving to the library -- a mile away -- is NOT green and also a sin when the sky is blue and the sun is shining and the birds are chirping and the temperature is just perfect. So I walked to the library, but it was so nice out that I ended up extending the walk, so it turns out that three miles later I was back at home with Tolstoy as the literary guest du jour. I started making dinner, finished with help from Husband, and then he wanted to take a walk. As he definitely needs the exercise, I agreed to another walk, so three miles and a lovely visit to my grandmother later, we returned home. Total: ten miles! I really enjoy walking with Husband not only because we get our exercise, but also it gives us a chance to talk without a television or other distraction. We had a nice conversation last night about raising children and I learned some interesting history about his step-siblings.
Today I finished the lectures on diabetes while enjoying another perfect summer morning. I ended up by my grandparents, and got roped into going to the office with my grandfather for his afternoon orthopedics clinic. We saw seventeen patients with interesting findings. I caught an Anterior Cruciate Ligament (ACL) tear. Both Drawer and Lachman tests were positive, although my grandfather elicited the forward movement of the leg much more easily than I. I suppose it's a matter of mass and experience. I also injected a knee with a cortisol/lidocaine combination and correctly identified a ganglion cyst (which felt surprisingly indurated). This was reassuring, since feel most uncomfortable with my musculoskeletal exam. ***Note to medical students, residents, and physicians: the NEJM has a wonderful Video in Clinical Medicine about examination of the knee. Watch it.*** My shoulder exam is still lacking, though. I haven't properly reviewed it since January and have forgotten too much. But some I could still remember. Oh, and we did a nice incision and drainage on a boil which was likely MRSA. Ebe pus, ebe vacuo.
Aren't I a fun person about whom to read? It gets worse -- I have also been reading Harrison's the last few days. Seriously, though, I do have fun. Tomorrow my sister and I leave for a day and a half vacation in Chicago. I have one destination in mind, and it is the Cheesecake Factory. I am mildly obsessed. Just mildly. Not as if I already know exactly what I'm ordering or something...dulce de leche cheesecake...We will also see the Willis nee Sears Tower and walk the Magnificent Mile. Perhaps a museum or two as well? Fireworks over Navy Pier? Who knows? I would never live in a big city, but I love visiting. Let's just hope the weather cooperates. I have yet to enjoy good weather in Chicago. I've done sweltering, humid August, freezing December and January, and June which would have been nice but I dressed for the eighties and it was in the sixties. This time I am checking the forecast.
Not too much else. Husband will be working hard through the weekend but promised me a date night Saturday night. Yay!